Allied Chiropractic Center of Eagan PA.
Organization Active NPI Chiropractor · Bloomington, MN
NPI 1851464036 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1851464036
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2493 (MN)
- Legal business name
- ALLIED CHIROPRACTIC CENTER OF EAGAN PA.
- Practice address
- 3916 W 113TH St
Bloomington, MN 55437-3503 - Phone
- (612) 709-3104
- Fax
- (952) 884-0852
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark Charles Gustafson, D.C.
- Title
- Ceo,Chiropractor
- Phone
- (612) 709-3104
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2493 | MN | Yes |
Addresses
Primary practice location
3916 W 113TH St
Bloomington, MN 55437-3503
Mailing address
3916 W 113TH St
Bloomington, MN 55437-3503
Phone (612) 709-3104
Other providers in Bloomington, MN
- Daniel Allen
- Tiffany Rose Allen
- Alliance Behavioral Care
- Alliance Wellness Center LLC
- Alliance Wellness Clinic Inc.
- Allina Health System
- Ian Ally
- Almore Medical Services
- Alpha Care LLC
- Alpha Home Care LLC
All providers in Bloomington, MN · Chiropractor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.